By Dr. Atul Mishra, General Surgery
Minimally invasive gastrointestinal surgery, also identified as laparoscopic surgery or hand-assisted laparoscopic surgery (HALS), deals with minimally invasive methods where only one small keyhole incision is made in the abdomen in order to treat diseases originating from the gastrointestinal tract. This is, however, in contrast to traditional modes of open surgery where large cut is made which causes more pain and longer to recover. These keyhole incisions are only about 5mm to 10mm in size and are therefore less harmful, in addition to boosting recovery time.
Need for minimally invasive gastrointestinal surgery:
Laparoscopic surgery is capable of treating the following conditions:
1. Crohn’s disease
2. Diverticulitis
3. Gall Bladder Stone
4. Hiatus hernia with GERD (Heartburn)
5. Abdominal hernia
6. Appendicitis
7. Liver Hyadatid Cyst
8. Ulcerative colitis
9. Colorectal cancer
10. Familial polyposis
11. Rectal prolapse
12. Chronic severe constipation
13. Stomach tumor (Gastric GIST)
14. Mesenteric Cyst
15. Spleen diseases (ITP)
Procedure-
Firstly, keyhole incisions are made to pave the way for access ports. It is through these access ports that your surgeon will insert the laparoscope and other surgical tools to begin the operation. With the help of the laparoscope, your doctor can view the transmitted pictures that will be displayed on the video monitor.
This kind of surgery can perform the following operations:
1. Proctosigmoidectomy
2. Total abdominal colectomy
3. Abdominoperineal resection
4. Total proctocolectomy
5. Ileocolectomy
6. Fecal diversion
7. Rectopexy
8. Anterior resection
9. Hernia repair
10. Radical Cholecystectomy
11. Laparoscopic Cholecystectomy
12. Laparoscopic Appendectomy
13. Laparoscopic Splenectomy
Self-recovery-
After surgery, you may steadily resume daily activities after a few days. Walking is an essential necessity for faster recovery. In a matter of weeks, you will be fit to perform mild exercises to regain strength. Lifting heavy objects, however, is not advisable as it may cause back problems or cause the stitches to tear loose.